340B Drug Pricing Program Database


CHC33647-00 North Orange County Regional Health Foundation (Active) - information as of 5/2/2025 10:34:11 PM

Main Details
North Orange County Regional Health Foundation
Family Health Matters Community Health Center
HRSA-Funded Health Center
BPS-H80-031504
CHC33647-00
H80CS33647


Additional Details
Active
11/13/2019
1/1/2020
11/14/2019
2/10/2025

Contacts

North Orange County Regional Health Foundation
Rocio Magdaleno, Chief Executive Officer
(714) 441-0411 Ext: 8106

North Orange County Regional Health Foundation
Lisa Ramos, Chief Operations Officer
(657) 215-9696

Addresses

1182 N Euclid Street
Anaheim, CA 92801

North Orange County Regional Health Foundation (Dba Family Health Matters)
1182 N Euclid Street
Anaheim, CA 92801


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
CA11949744021194974402
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailAUM PHARMACEUTICALS INCDBA AUM PHARMACY 710 N EUCLID ST STE 103
ANAHEIMCA9280104/14/202007/01/2020 04/13/202304/13/2023
Contract DetailTRAN-RX, LLCDBA: ALLCARE PHARMACY #3 1106 E. 17TH ST STE B
SANTA ANACA9270104/13/202307/01/2023  07/01/2023
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC33647-00ActiveBPS-H80-031504North Orange County Regional Health FoundationFamily Health Matters Community Health Center1182 N Euclid Street AnaheimCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC33647-00AUM PHARMACEUTICALS INCDBA AUM PHARMACY 710 N EUCLID ST STE 103
ANAHEIMCA9280107/01/2020 04/13/2023
CHC33647-00TRAN-RX, LLCDBA: ALLCARE PHARMACY #3 1106 E. 17TH ST STE B
SANTA ANACA9270107/01/2023  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/31/2024 1:40:25 PM2/10/2025 5:23:01 PM2/10/2025 5:23 PM
DetailsLast Recertification DateUpdateRecertification1/30/2023 6:44:48 PM1/31/2024 1:40:25 PM1/31/2024 1:40 PM
ContactsPrimary ContactUpdatePC Change RequestDuarte, Daisy Clinic Operations Manager North Orange County Regional Health Foundation 7144410111-8110Ramos, Lisa Chief Operations Officer North Orange County Regional Health Foundation 65721596962/9/2023 4:55 PM
DetailsLast Recertification DateUpdateRecertification2/28/2022 6:06:56 PM1/30/2023 6:44:48 PM1/30/2023 6:44 PM
ContactsAuthorizing OfficialUpdateAO Change Requesttriplett, andrew CEO North Orange County Regional Health Foundation 5097310263Magdaleno, Rocio Chief Executive Officer North Orange County Regional Health Foundation 7144410411-81069/14/2022 7:26 AM
ContactsAuthorizing OfficialUpdateAO Change RequestShelton Finch, Ramona CEO North Orange County Regional Health Foundation 7144410411triplett, andrew CEO North Orange County Regional Health Foundation 50973102632/28/2022 9:09 PM
DetailsLast Recertification DateUpdateRecertification2/8/2021 7:08:36 AM2/28/2022 6:06:56 PM2/28/2022 6:06 PM
AddressesMain AddressUpdateChange Request 901 W Orangethorpe Avenue Fullerton, CA 92832 1182 N Euclid Street Anaheim, CA 9280111/23/2021 7:45 AM
DetailsEntity SubnameUpdateChange RequestNorth Orange County Regional Health FoundationFamily Health Matters Community Health Center11/23/2021 7:45 AM
AddressesBilling AddressInsertChange Request North Orange County Regional Health Foundation (Dba Family Health Matters) 1182 N Euclid Street Anaheim, CA 928016/17/2021 3:51 PM
ContactsPrimary ContactUpdateChange RequestWu, Jane PA North Orange County Regional Health Foundation 7144410411Duarte, Daisy Clinic Operations Manager North Orange County Regional Health Foundation 7144410111-81106/17/2021 3:51 PM
AddressesMain AddressUpdateRecertification 901 West Orangethorpe Avenue Fullerton, CA 92832 901 W Orangethorpe Avenue Fullerton, CA 928322/8/2021 7:08 AM
Medicaid BillingNPI: StateUpdateRecertification CA2/8/2021 7:08 AM
DetailsLast Recertification DateUpdateRecertification1/28/2020 5:27:28 PM2/8/2021 7:08:36 AM2/8/2021 7:08 AM
DetailsLast Recertification DateUpdateRecertification 1/28/2020 5:27:28 PM1/28/2020 5:27 PM
DetailsStateUpdate ApprovedActive1/1/2020 12:04 AM
ContactsSigned ByInsertNew Registration Shelton Finch, Ramona CEO North Orange County Regional Health Foundation 714441041111/14/2019 2:37 PM
Details340B IDUpdateNew Registration CHC33647-0011/14/2019 2:37 PM
DatesParticipating Approval DateUpdateNew Registration 11/14/2019 2:37:53 PM11/14/2019 2:37 PM
DetailsStateUpdateNew RegistrationPendingApproved11/14/2019 2:37 PM
DatesSigned By DateUpdateNew Registration 11/13/2019 3:34:05 PM11/14/2019 2:37 PM
DatesStart DateUpdateNew Registration 1/1/2020 12:00:00 AM11/14/2019 2:37 PM
AddressesMain AddressInsertNew Registration  901 West Orangethorpe Avenue Fullerton, CA 9283211/13/2019 3:34 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False11/13/2019 3:34 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 119497440211/13/2019 3:34 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA11/13/2019 3:34 PM
Medicaid BillingNPI: NumberInsertNew Registration 119497440211/13/2019 3:34 PM
ContactsAuthorizing OfficialInsertNew Registration Shelton Finch, Ramona CEO North Orange County Regional Health Foundation 714441041111/13/2019 3:34 PM
ContactsPrimary ContactInsertNew Registration Wu, Jane PA North Orange County Regional Health Foundation 714441041111/13/2019 3:34 PM
DetailsLast Recertification DateInsertNew Registration  11/13/2019 3:34 PM
DetailsGrant NumberInsertNew Registration H80CS3364711/13/2019 3:34 PM
Details340B IDInsertNew Registration  11/13/2019 3:34 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  11/13/2019 3:34 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  11/13/2019 3:34 PM
DetailsMedicare Provider NumberInsertNew Registration  11/13/2019 3:34 PM
DetailsEntity NameInsertNew Registration North Orange County Regional Health Foundation11/13/2019 3:34 PM
DetailsProgram CodeInsertNew Registration CH11/13/2019 3:34 PM
DetailsEntity SubnameInsertNew Registration North Orange County Regional Health Foundation11/13/2019 3:34 PM
DatesParticipating Approval DateInsertNew Registration  11/13/2019 3:34 PM
DetailsStateInsertNew Registration Pending11/13/2019 3:34 PM
DatesRegistration DateInsertNew Registration 11/13/2019 3:34:02 PM11/13/2019 3:34 PM
DatesSigned By DateInsertNew Registration  11/13/2019 3:34 PM
DatesStart DateInsertNew Registration  11/13/2019 3:34 PM
TerminationsTermination CommentsInsertNew Registration  11/13/2019 3:34 PM
TerminationsTermination DateInsertNew Registration  11/13/2019 3:34 PM
TerminationsTermination Effective DateInsertNew Registration  11/13/2019 3:34 PM
TerminationsTermination ReasonInsertNew Registration  11/13/2019 3:34 PM